Monitoring the Session

HB 1327

bill extends the Harris County Hospital District program two years

Became law

Verdict: No flags

No flagsInitial review
Rep. Sam HarlessRHouse 126

Initial review · graded Oct 20, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

relating to the continuation of a health care provider participation program by the Harris County Hospital District.

Caption from analyzed text · version I.

Summary

The provider participation program runs two more years.

This bill extends the Harris County Hospital District's authority to run its health care provider participation program by two years. It touches the Harris County Hospital District and the health care providers who take part in that program. Instead of ending on December 31, 2025, the program and the law behind it now run until December 31, 2027.

Labels

Labels: INSTANT LAW. Took effect immediately, on May 28, 2025. 833 of the 1,185 graded 89R laws took effect Sep 1, 2025 (derived from the bill histories, snapshot Oct 19, 2026).CROSS-PARTY HANDOFF. Lead author Sam Harless (R) in the House. Lead sponsor Borris Miles (D) in the Senate. Party as the Legislative Reference Library lists it for the 89th Legislature.ACROSS THE AISLE. Joint authors: 1 Republican, 1 Democrat. Party as the Legislative Reference Library lists it for the 89th Legislature.QUICK READ: 145 WORDS. The bill as filed runs 145 words, counting the existing law it amends and the text it strikes. The median 89R bill as filed runs 441 words (derived, 8,702 graded bills, snapshot Oct 19, 2026).

Receipt

The receipt

89R-HB1327 · 2024-11-14

SOLD BY

Rep. Sam HarlessRHouse 126 Rep. Lauren Ashley SimmonsDHouse 146

ITEM

relating to the continuation of a health care provider participation program by the Harris County Hospital District.

WHAT IT DOES

The provider participation program runs two more years.

This bill extends the Harris County Hospital District's authority to run its health care provider participation program by two years. It touches the Harris County Hospital District and the health care providers who take part in that program. Instead of ending on December 31, 2025, the program and the law behind it now run until December 31, 2027.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal implication to the State is anticipated.

LBB estimate · fiscal note version E · source

Sources

Fiscal note · version E · May 7, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to s/c on County & Regional Government by Speaker
  4. Scheduled for public hearing in s/c on . . .
  5. Considered by s/c in public hearing
  6. Testimony taken/registration(s) recorded in subcommittee
  7. Left pending in subcommittee
  8. Recalled from subcommittee
  9. Considered in formal meeting
  10. Reported favorably w/o amendment(s)
  11. Comte report filed with Committee Coordinator
  12. Committee report distributed
  13. Committee report sent to Calendars
  14. Considered in Calendars
  15. Placed on General State Calendar
  16. Read 2nd time
  17. Passed to engrossment
  18. Record vote RV#837
  19. Statement(s) of vote recorded in Journal
  20. Read 3rd time
  21. Passed
  22. Record vote RV#984
  23. Statement(s) of vote recorded in Journal
  24. Reported engrossed
  25. Received from the House
  26. Read first time
  27. Referred to Local Government
  28. Posting rule suspended
  29. Scheduled for public hearing on . . .
  30. Considered in public hearing
  31. Vote taken in committee
  32. Reported favorably w/o amendments
  33. Recommended for local & uncontested calendar
  34. Committee report printed and distributed
  35. Placed on local & uncontested calendar
  36. Laid before the Senate
  37. Read 2nd time & passed to 3rd reading
  38. Vote recorded in Journal
  39. Three day rule suspended
  40. Record vote
  41. Read 3rd time
  42. Passed
  43. Record vote
  44. Senate passage reported
  45. Reported enrolled
  46. Signed in the House
  47. Signed in the Senate
  48. Sent to the Governor
  49. Signed by the Governor
  50. Effective immediately
FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 109 yea · 31 nay

Senate · 28 yea · 3 nay

Sources

House: Final passage · Apr 30, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

Senate: Final passage · May 14, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

All floor motions and other positions below.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Sam Harless

Donors

Texans for Lawsuit Reform PAC$28KTexas REALTORS Political Action Committee$15KFRANK STILLEY$10,000

Not tied to this bill.

Sources

The author's campaign account only. Own money and internal transfers are separate on the member page.

Derived itemized flow · Jul 2, 2024 to Aug 19, 2025. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Texans for Lawsuit Reform PAC$27,500.00

Texans for Lawsuit Reform PAC

$27,500.00

Cash
$27,500.00
Paid by others
$0.00
Total
$27,500.00

Also funds 124 other sitting lawmakers.

Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Sep 12, 2024 to Jun 23, 2025. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100982685, 101007085.

Texas REALTORS Political Action Committee$15,000.00

Texas REALTORS Political Action Committee

$15,000.00

Cash
$15,000.00
Paid by others
$0.00
Total
$15,000.00

Also funds 140 other sitting lawmakers.

Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jul 2, 2024 to Jun 23, 2025. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100982685, 101007085.

FRANK STILLEY$10,000.00
Money

Missing data does not establish zero giving. Display amounts are rounded.

×

Texans for Lawsuit Reform PAC

$27,500.00

Cash
$27,500.00
Paid by others
$0.00
Total
$27,500.00

Also funds 124 other sitting lawmakers.

Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Sep 12, 2024 to Jun 23, 2025. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100982685, 101007085.

×

Texas REALTORS Political Action Committee

$15,000.00

Cash
$15,000.00
Paid by others
$0.00
Total
$15,000.00

Also funds 140 other sitting lawmakers.

Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jul 2, 2024 to Jun 23, 2025. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100982685, 101007085.

Votes5

Senate May 14, 2025

Final passage

Yea
28
Nay
3
Present, not voting
Not printed
Absent
Not printed
Excused
Not printed
Names

Named positions matched to lawmakers. See the journal for unmatched names.

Senate journal

Names were not printed for yea. Only the named positions are included in member records.

The journal row lists three votes in order: passage to third reading, suspension of the three-day rule, and final passage. This entry records final passage. Repeated tallies belong to separate votes.

Sources

HB 1327 (Miles) Relating to the continuation of a health care provider participation program by the Harris County Hospital District. (viva voce vote) (28-3) "Nays" Hughes, Middleton, Sparks (28-3) "Nays" Hughes, Middleton, Sparks

Published stock of positions for this vote, except where marked derived.

  • Yea: 28 (published)
  • Nay: 3 (published)
  • Present, not voting: Not printed
  • Absent: Not printed
  • Excused: Not printed

Senate journal. Source snapshot 2026-10-19, Central time.

Senate May 14, 2025

Suspension of the three-day rule

Yea
28
Nay
3
Present, not voting
Not printed
Absent
Not printed
Excused
Not printed
Names

Named positions matched to lawmakers. See the journal for unmatched names.

Senate journal

Names were not printed for yea. Only the named positions are included in member records.

The journal row lists three votes in order: passage to third reading, suspension of the three-day rule, and final passage. This entry records suspension of the three-day rule. Repeated tallies belong to separate votes.

Sources

HB 1327 (Miles) Relating to the continuation of a health care provider participation program by the Harris County Hospital District. (viva voce vote) (28-3) "Nays" Hughes, Middleton, Sparks (28-3) "Nays" Hughes, Middleton, Sparks

Published stock of positions for this vote, except where marked derived.

  • Yea: 28 (published)
  • Nay: 3 (published)
  • Present, not voting: Not printed
  • Absent: Not printed
  • Excused: Not printed

Senate journal. Source snapshot 2026-10-19, Central time.

Senate May 14, 2025

Passage to third reading

Yea
Not printed
Nay
Not printed
Present, not voting
Not printed
Absent
Not printed
Excused
Not printed
Names

Senate journal

Names were not printed. No individual positions are inferred.

The journal row lists three votes in order: passage to third reading, suspension of the three-day rule, and final passage. This entry records passage to third reading. Repeated tallies belong to separate votes.

Voice vote. No numeric tally or individual yeas are inferred.

Sources

HB 1327 (Miles) Relating to the continuation of a health care provider participation program by the Harris County Hospital District. (viva voce vote) (28-3) "Nays" Hughes, Middleton, Sparks (28-3) "Nays" Hughes, Middleton, Sparks

Published stock of positions for this vote, except where marked derived.

  • Yea: Not printed
  • Nay: Not printed
  • Present, not voting: Not printed
  • Absent: Not printed
  • Excused: Not printed

Senate journal. Source snapshot 2026-10-19, Central time.

House Apr 30, 2025

Yea
109
Nay
31
Present, not voting
1
Absent
4
Excused
5
Names

Named positions matched to lawmakers. See the journal for unmatched names.

House journal

Sources

Record 984

HB 1327 was passed by (Record 984): 109 Yeas, 31 Nays, 1 Present, not voting.

Published stock of positions for this vote, except where marked derived.

  • Yea: 109 (published)
  • Nay: 31 (published)
  • Present, not voting: 1 (published)
  • Absent: 4 (derived from named list)
  • Excused: 5 (derived from named list)

House journal. Source snapshot 2026-10-19, Central time.

House Apr 29, 2025

Yea
111
Nay
32
Present, not voting
2
Absent
4
Excused
1
Names

Named positions matched to lawmakers. See the journal for unmatched names.

House journal

Sources

Record 837

HB 1327 was passed to engrossment by (Record 837): 111 Yeas, 32 Nays, 2 Present, not voting.

Published stock of positions for this vote, except where marked derived.

  • Yea: 111 (published)
  • Nay: 32 (published)
  • Present, not voting: 2 (published)
  • Absent: 4 (derived from named list)
  • Excused: 1 (derived from named list)

House journal. Source snapshot 2026-10-19, Central time.

Witnesses13
For
13
Against
0
On
0
Names

For

  • Bexar County Commissioners Court1 registration
  • Children's Hospital Association of Texas1 registration
  • Conference of Urban Counties1 registration
  • County Judges and Commissioners Association of Texas1 registration
  • Harris County Commissioners Court1 registration
  • Harris Health System1 registration
  • HCA Healthcare1 registration
  • Self2 registrations
  • St. Luke’s Healthcare System1 registration
  • Teaching Hospitals of Texas1 registration
  • Texas Children’s Hospital1 registration
  • Texas Hospital Association1 registration
Sources

13 parsed registrations across the loaded witness lists.

Derived stock of witness registrations. Repeated appearances count separately. Organizations and self-representation appear as printed.

House witness list. Source snapshot 2026-10-20, Central time.

Fiscal

No fiscal implication to the State is anticipated.

LBB estimate · fiscal note version E · source

Sources

Fiscal note · version E · May 7, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

How this was graded

Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.

FILED BEFORE

Filed 2 times: 88R and 89R. Checked against 88R only.

88R HB 1925

by Rep. Harless, same lead author · Became law · reworked

Introduced text

Last action, Jun 9, 2023: Effective immediately

Relating to the continuation of a health care provider participation program by the Harris County Hospital District.

Caption, 88R bill history

Sources

Texas House · Filed Nov 14, 2024

05/28/2025 E Effective immediately

Texas Legislature Online · Introduced · House Committee Report · Engrossed · Senate Committee Report · Enrolled

Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.

Sponsors
Borris MilesDSenate 13

House committee · Intergovernmental Affairs · Committee vote 8 aye, 1 nay, 2 absent · Out of committee

Senate committee · Local Government · Committee vote 6 aye, 0 nay, 1 absent · Out of committee

Companion

SB 375 by Miles (identical)

Subjects

HARRIS COUNTY HOSPITAL DISTRICT

Health Care Providers

Hospitals

Special Districts & Authorities--Hospital

Text

The text as introduced · 145 words

89R4551 MPF-F

By: Harless
H.B. No. 1327

A BILL TO BE ENTITLED

AN ACT

relating to the continuation of a health care provider

participation program by the Harris County Hospital District.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

SECTION 1. Section 299.004, Health and Safety Code, is

amended to read as follows:

Sec. 299.004. EXPIRATION. (a) Subject to Section

299.153(d), the authority of the district to administer and operate

a program under this chapter expires December 31, 2027 [ 2025 ].

(b) This chapter expires December 31, 2027 [ 2025 ].

SECTION 2. This Act takes effect immediately if it receives

a vote of two-thirds of all the members elected to each house, as

provided by Section 39, Article III, Texas Constitution. If this

Act does not receive the vote necessary for immediate effect, this

Act takes effect September 1, 2025.